BACKGROUND Exercise can trigger sudden cardiac arrest. Early initiation of cardiopulmonary resuscitation and automated external defibrillator use by laypersons could maximize the survival rate following exercise-related out-of-hospital cardiac arrest (OHCA). METHODS AND RESULTS OHCA data between 2005 and 2012 were obtained from a prospective population-based OHCA registry in Osaka Prefecture....

BACKGROUND Despite recent advances in resuscitation algorithms, neurological injury after cardiac arrest due to cerebral ischemia and reperfusion is one of the reasons for poor neurological outcome. There is currently no adequate means of measuring cerebral perfusion during cardiac arrest. It was the aim of this study to investigate the feasibility of measuring near infrared spectroscopy (NIRS)...

Lance-Adams syndrome (LAS) is an uncommon neurological disorder characterized by the development of chronic post-hypoxic myoclonus. There are relatively few cases described following successful cardiopulmonary resuscitation. We report a patient who developed LAS 3 months after successful resuscitation. Cerebral imaging studies indicate that brain pathology in LAS patients is not uniform, sugges...

Near-hanging injury is not an uncommon occurrence in children. Surprisingly, little discussion of this topic occurs in the pediatric literature. Previous reports note that children who present with an initial pH less than 7.2, apnea or agonal respiration, or who subsequently require mechanical ventilation, either die or survive with severe neurologic residua. We report a series of three pediatr...

EPINEPHRINE IS WIDELY USED IN cardiopulmonary resuscitation (CPR) for patients with out-of-hospital cardiac arrest (OHCA). However, its effectiveness in CPR has not been established. Epinephrine is associated with increased myocardial oxygen consumption and ventricular arrhythmias during the period after resuscitation. Concern has been raised regarding increased myocardial dysfunction and distu...